Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $5,128.61 / $15,848.93	Facility	$912.01	$5,128.61	$15,848.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $691.83	Professional	$125.89	$199.53	$691.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional	$229.09	$229.09	$229.09
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $4,466.84 / $12,022.64	Facility	$2,511.89	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $181.97 / $371.54	Professional	$131.83	$181.97	$371.54
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $1,000.00 / $2,041.74	Facility	$79.43	$1,000.00	$2,041.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $218.78 / $436.52	Professional	$141.25	$218.78	$436.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $575.44 / $776.25	Facility	$398.11	$575.44	$776.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $407.38	Professional	$138.04	$208.93	$407.38
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $177.83 / $331.13	Professional	$138.04	$177.83	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $213.80 / $416.87	Professional	$120.23	$213.80	$416.87
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,513.56	Facility	$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,737.80 / $1,737.80	Professional	$1,479.11	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $288.40	Professional	$32.36	$33.11	$288.40
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional	$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $354.81	Facility	$131.83	$208.93	$354.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $218.78 / $457.09	Professional	$138.04	$218.78	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $660.69	Professional	$407.38	$407.38	$660.69
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $223.87 / $309.03	Professional	$123.03	$223.87	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $1,513.56 / $6,025.60	Facility	$426.58	$1,513.56	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $173.78 / $354.81	Professional	$109.65	$173.78	$354.81

California rates for HCPCS 42809